A Girl's Self-Esteem

This survey seeks to determine how the media is affecting self-esteem of teenage girls. This survey will be kept completely confidential and should take no any longer than 5 minutes.



A red asterisk (*) indicates required questions.


  1. Do you agree to participate in this Self-Esteem survey?*
    Yes
    No


  1. How old are you? 


  1. I feel that I am a person of worth
    1 Strongly Disagree
    2 Disagree
    3 Agree
    4 Strongly Agree


  1. I feel that I have a number of good qualities
    1 Strongly Disagree
    2 Disagree
    3 Agree
    4 Strongly Agree


  1. On the whole I am satisfied with myself
    1 Strongly Disagree
    2 Disagree
    3 Agree
    4 Strongly Agree


  1. I feel I do have much to be proud of
    1 Strongly Disagree
    2 Disagree
    3 Agree
    4 Strongly Agree


  1. I take a positive attitude towards myself
    1 Strongly Disagree
    2 Disagree
    3 Agree
    4 Strongly Agree


  1. How do you feel about your stomach?
    1 Dissatisfied
    2 Neutral
    3 Content
    4 Proud


  1. How do you feel about your hips?
    1 Dissatisfied
    2 Neutral
    3 Content
    4 Proud


  1. How do you feel about your waist?
    1 Dissatisfied
    2 Neutral
    3 Content
    4 Proud


  1. How do you feel about your legs?
    1 Dissatisfied
    2 Neutral
    3 Content
    4 Proud


  1. How do you feel about your thighs?
    1 Dissatisfied
    2 Neutral
    3 Content
    4 Proud


  1. How do you feel about your calves?
    1 Dissatisfied
    2 Neutral
    3 Content
    4 Proud


  1. TV programs are an important source of information about fashion and being attractive
    1 Strongly Disagree
    2 Disagree
    3 Agree
    4 Strongly Agree


  1. I have felt pressure from TV or magazines to lose weight
    1 Strongly Disagree
    2 Disagree
    3 Agree
    4 Strongly Agree


  1. I compare my body to bodies of people who are in magazines
    1 Strongly Disagree
    2 Disagree
    3 Agree
    4 Strongly Agree


  1. I feel pressure from magazines to look pretty
    1 Strongly Disagree
    2 Disagree
    3 Agree
    4 Strongly Agree